Therefore, MOVIEGUIDE(r) advises caution. The picture contains minor foul language and some disturbing images that may be inappropriate for young children, as well as a strong environmentalist worldview and some anti-capitalist elements. Still, AN INCONVENIENT TRUTH can serve as a good starting point for education, discussion and exploration for Christians, including older children and teenagers under proper guidance. Gore preaches doom and gloom, while ignoring reasonable questions asked by skeptics of the theory. This documentary appears to fall into such a category. The human activity that has allegedly caused the quandary, Gore points out, can be reversed, which makes it not only a political issue, but a moral issue.Įnvironmentalists are among those notorious for shouting exaggerations in order to gain support for their pet causes. Gore's presentation links the problems caused by carbon emissions to a number of major social concerns, including public health problems and natural disasters. The consensus among modern scientists holds that increases in population, coupled with industrialism, has caused temperatures to rise steadily during the last several decades. In this issue of JAMA Internal Medicine, Liu et al 3 spotlight one of these.AN INCONVENIENT TRUTH is an alarmist documentary that depicts Al Gore making a multimedia presentation about global warming. Nonetheless, these sweeping changes to the recommended conceptual and pragmatic approach to defining and managing CKD had some unanticipated and unintended adverse consequences. It offered a formal case definition where none had existed previously, a common language to describe the presence and severity of CKD, and a powerful organizing structure to guide clinical care, scientific research, and patient advocacy. The 2002 guideline was in many ways a breath of fresh air. Almost 2 decades later, many of the practices recommended in this guideline have been fully integrated into clinical practice, such as using a prediction equation to estimate glomerular filtration rate (eGFR) rather than serum creatinine alone, an eGFR-based classification system to define and gage the severity of CKD, and a risk-based approach to managing CKD based on the level of eGFR and albuminuria.
Since its publication in 2002, the National Kidney Foundation (NKF)’s clinical practice guideline 2 on the evaluation, classification, and stratification of chronic kidney disease (CKD) dramatically altered how we think about kidney disease and how we care for people with this condition.
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